Organization
EASTERN BROOKLYN IPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE PHILIPPE M.D. (MBR)
(718) 658-2448
Entity
Organization
Contact information
Practice address
16405 HILLSIDE AVE, JAMAICA, NY 11432-4140
(718) 658-2448
Mailing address
16405 HILLSIDE AVE, JAMAICA, NY 11432-4140
(718) 658-2448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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